business loan and overdraft application Dnister Ukrainian Credit Co-operative Ltd ABN 59 087 651 394 AFSL / Australian Credit Licence 240673 BSB 704 235 Head Office : 912 Mt Alexander Road, Essendon VIC 3040 PO Box 279 P 1800 353 041 F (03) 9370 5361 www.dnister.com.au admin@dnister.com.au loan details Full legal name of Applicant(s) Purpose of loan Type of loan Commercial loan Interest only loan Overdraft Amount Preferred term (years) Housing Loan Do you wish to combine with existing Loan? No Yes required documents checklist Financial information Copies of full financial statement for the past three years and any interim figures certified and signed as correct by the owner Cash flow budget for at least the next 12 months Plant and equipment register Stock break-up - raw materials, work in progress, finished goods (where applicable) List of debtors by age (e.g. current 30/60/90 days) and amount owing List of creditors by age (e.g. current 30/60/90 days) and amount owing Copies of last 12 months' bank statements for all non-dnister transaction accounts and loan accounts Copies of Taxation Returns for the past three years Copies of Title documents for any property offered as security List of associated entities, including family tree in group (if applicable) If purchasing a property For business - business name registration For company - certificate of incorporation and constitution (certified and signed as correct and up to date by the directors) For trusts - copy of trust deed and all amending deed (certified and signed by the trustee as a true copy) notes / comments Office use only Processed by Date Verified by Date page 1 of 5
business details Postal address if different from above Post Code Contact Fax Website A.C.N. / A.R.B.N. / A.B.N. / Business registration no. Date business name registered (if applicable) Date of incorporation (if applicable) Business structure Company Partnership Proprietorship (including sole traders) Is there a trust involved? No Yes and date of trust deed (if applicable) Type of company Normal company Trustee of family discretionary trust Main business activities Trustee of unit trust Trustee of another type of trust Other business activities (if applicable) owners / partners / directors details Mobile Email Mobile Email Mobile Email Mobile Email page 2 of 5
security Mortgage over company assets (mortgage debenture) Guarantee(s) - please provide details of guarantor(s) Mortgage over freehold property Property 1 Type of property Est. market value Property 2 Type of property Industrial Industrial Commercial Residential Vacant land Amt of outstanding loan Commercial Residential Vacant land Est. market value Amt of outstanding loan Property 3 Type of property Industrial Commercial Residential Vacant land Est. market value Amt of outstanding loan Other security - please provide details business operating details For how many years has the company / business been under the current ownership / management? Number of staff / employees Who are the key people other than the owners / directors of the company / business? Title / Position Time in role Main professional contacts - complete where applicable Accountant's name of firm number Solicitor's name of firm number Insurance agent's name of firm number Other financial adviser's name of firm number page 3 of 5
Facilities currently held with other banks (including all types of credit e.g. overdraft, lease facilities, debtor finance / factoring, International trade facilities, guarantees given by company / business etc.) of lender and type of facility Original loan amount Amount now owing Monthly repayments of lender and type of facility Original loan amount Amount now owing Monthly repayments of lender and type of facility Original loan amount Amount now owing Monthly repayments of lender and type of facility Original loan amount Amount now owing Monthly repayments business financial summary Date of last balance sheet Shareholder's funds Current year Total sales / income Last year Total liabilities Earnings before tax Total assets Net profit after tax declaration I/we declare that the information contained in this application, including attachments is true and correct. I/we agree to pay all legal and valuation expenses in connection with processing this loan application irrespective of whether or not the loan is approved. I/we acknowledge that persons making false declarations may be punishable for willful and corrupt perjury. consent of release of credit information To : Dnister Ukrainian Credit Co-operative Ltd PO BOX 279 ESSENDON Vic 3040 I/We, the undersigned Applicant s HEREBY DECLARE AND ACKNOWLEDGE and specifically agree that: 1. The personal information provided to you may be disclosed to a Credit Reporting Agency for the purposes permitted by the Privacy Act 1988 as amended by the Privacy Amendment Act 1990 ( The Privacy Legislation ). In assessing my/our application, your company is authorized: a) to seek information relating to my/our credit worthiness from a Credit Reporting Agency containing personal information about me/us in relation to my/our personal credit which has been previously provided to me/us; b) to obtain from a Credit Reporting 2. Your Company is specifically authorized: a) to give or obtain from any other credit provider and to provide to a mortgage loan insurer credit or personal information held on me/us for the particular purpose for which it is required. I/we understand that this will include credit worthiness, credi page 4 of 5
I/WE FURTHER AUTHORISE a mortgage insurer to obtain a credit report from you and authorize you specifically to disclose to any mortgage insurer a report or information to assist them in relation to their assessment as to whether to insure me/us in respect I/We, the undersigned, will promptly advise your Company if there are any changes to the credit or personal information, which you hold on me/us. I/We acknowledge that your Company relies on me/us to ensure that such information is kept up to date and com declaration of purpose Section 11, Consumer Credit Code, Regulation 10 Consumer Credit Regulation I/We declare that the credit to be provided to me/us by the credit provider is to be applied wholly or predominantly (i.e. the purpose for which more than half of the credit is intended to be used) for Business or Investment purposes (or for both purpose I/We agree to provide declarations of purpose of the credit whenever required by the Credit Provider Please forward the completed and signed application to Dnister by mail or via the fax number listed. If you have any queries or require further assistance please contact our loans department this day of year page 5 of 5